How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DrRussMD Your Own Question

DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63833
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Medical Question Here...
DrRussMD is online now

I keep on tapping my index finger against my thumb (right hand).

Resolved Question:

I keep on tapping my index finger against my thumb (right hand). I find I am doing it involuntarily and make myself stop but my fingers keep wanting to do it. My GP did a quick check for Parkinsons and said I did not have that. I am wondering if it is going to lead to something serious as I am 72 and take thyroxin - and metformin for Type 2 diabetes - low reading and diagnosed about 3 years ago.
Submitted: 1 year ago.
Category: Medical
Expert:  Ken replied 1 year ago.
Hello, I am Dr Ken and I will be helping you today. Was MRI Brain obtained?
Expert:  DrRussMD replied 1 year ago.

Hello

You need to see a neurologist.

One would not jump to an MRI of the brain. Too much thyroid medicine, diabetes, low magnesium, B vitamin deficiency, other electrolyte imblance, muscle strain and stress, benign fasiculations.....and more All of these need to be ruled out.

MRI would only be based on neuro exam findings.

Parkinsons typically does not start like this.

Certainly, rare causes, such as MD and ALS can easily be ruled out by the correct specialist.

I am a double board certified doctor.

Let me know if you have more questions.

Please do not forget a positive rating.

Customer: replied 1 year ago.

Thanks for ideas. Should I tell my GP that I have contacted you and ask to get tested on the things you have suggested? I am worried he will think I am a hypochondriac. I have just moved to this area and don't know him very well although he seems attentive. My thyroid and diabetes levels were in the normal range at the last test although he did seem puzzled at the diabetes reading of 6 and gave me the impression I should not be on metformin. I am taking 75mg of thyroxin. What does ALS stand for?

Expert:  DrRussMD replied 1 year ago.
No in fact you should indeed be tested.
ALS is amyotrophic lateral sclerosis...you don't have it, it would cause weakness.
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63833
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 5 other Medical Specialists are ready to help you
Expert:  DrRussMD replied 1 year ago.
thanks
I am board certified in integrative medicine, internal medicine, trained in functional medicine and homeopathy, etc. I am here daily: use my request link as needed and “for Dr. Thomas” in the question title. Give that link to friends, family, associates, etc. Find me as needed for correct, safe and accurate answers.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions